| NPI | 1841253523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN T CLONTZ Owner/ 828-437-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 5037) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2015-01-27 |